Skeletal Radiology

, Volume 11, Issue 1, pp 1–8 | Cite as

Gouty arthritis: A prospective radiographic evaluation of sixty patients

  • Carl R. Barthelemy
  • Denny A. Nakayama
  • Guillermo F. Carrera
  • Robert W. LightfootJr.
  • Robert L. Wortmann

Abstract

A prospective analysis of 60 patients with gout was undertaken to evaluate the radiographic spectrum of gouty arthritis in patients treated in the era of hypouricemic therapy. Twenty-two of these patients were clinically tophaceous; 36 were considered to have radiographic findings diagnostic of gouty arthritis by strict radiographic criteria. Up to 24% of the patients denied symptoms in joints with radiographic changes of gout; 42% with no evidence of tophi on clinical examination had radiographic changes characteristic of gout. Radiographic assessment can be extremely helpful in the management of gout by documenting the degree and extent of bony involvement, particularly in patients with limited symptoms or without clinical tophi.

Key words

Arthritis Gouty arthritis Gout 

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Copyright information

© International Skeletal Society 1984

Authors and Affiliations

  • Carl R. Barthelemy
    • 1
    • 2
  • Denny A. Nakayama
    • 3
    • 4
  • Guillermo F. Carrera
    • 5
    • 6
  • Robert W. LightfootJr.
    • 3
    • 4
  • Robert L. Wortmann
    • 3
    • 6
  1. 1.Department of Radiology, Section of Skeletal RadiologyThe Medical College of WisconsinUSA
  2. 2.The Wood Veterans Administration Medical CenterMilwaukeeUSA
  3. 3.Department of Medicine, Section of RheumatologyThe Medical College of WisconsinMilwaukeeUSA
  4. 4.Wood Veterans Administration Medical CenterMilwaukeeUSA
  5. 5.Department of Radiology, Section of Skeletal RadiologyThe Medical College of WisconsinMilwaukeeUSA
  6. 6.Milwaukee County Medical ComplexMilwaukeeUSA
  7. 7.Radiology Service/114Veterans Administration Medical CenterWood (Milwaukee)USA

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